Does Bad Taste in Saliva Indicate Bad Breath from the Tongue? - Dentistry

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Is there a correlation between foul-smelling saliva at the base of the tongue and bad breath?


Hello Doctor: Thank you for your response on November 2nd! May I ask you again: 1.
If the saliva at the base of the tongue has a foul odor, will the breath (when speaking) also have an unpleasant smell? 2.
If I purchase a tongue scraper and diligently scrape the coating off the base of my tongue, will this improve the odor? 3.
Why does only the saliva at the base of the tongue have an odor, while the saliva at the tip of the tongue and near the cheeks is tasteless? 4.
Is the presence of odor related to one's constitution? I apologize for bothering you with these questions! Thank you for your patient responses!

Niming, 40~49 year old female. Ask Date: 2016/11/05

Dr. Zeng Guanghui reply Dentistry


1.
If the saliva at the base of the tongue has an unpleasant odor, the breath will also have an unpleasant smell.
2.
If food debris or dental plaque accumulates on the tongue coating, it can easily produce an odor.
A tongue scraper, soft-bristled toothbrush, or a moist cotton swab can be used to remove dental plaque or food residues.
3.
The openings of the salivary glands under the tongue are located on the inner sides of the tongue, while the openings of the parotid glands are located on the inner sides of the cheeks.
The self-cleansing function of saliva is better in these areas, which helps to reduce plaque accumulation.
4.
An unpleasant odor may be due to the accumulation of dental plaque or food debris in the oral cavity, or it may be related to issues in the digestive system causing gastroesophageal reflux.
It is advisable to consult a physician for further examination.

Reply Date: 2016/11/05

More Info


Bad taste in saliva, particularly if it is foul or unpleasant, can indeed indicate issues related to oral hygiene and potentially contribute to bad breath. The tongue, especially the posterior part, is a common site for the accumulation of bacteria, food particles, and dead cells, which can lead to the formation of a biofilm known as tongue coating. This coating can harbor anaerobic bacteria that produce volatile sulfur compounds (VSCs), which are primarily responsible for bad breath.

1. Does foul-tasting saliva from the back of the tongue indicate bad breath? Yes, if the saliva at the back of your tongue has a foul odor, it is likely that the air you exhale while speaking will also carry that unpleasant smell. This is because the bacteria and compounds responsible for the bad taste can easily be released into the air when you talk or breathe out.

2. Will scraping the tongue improve the odor? Using a tongue scraper can be an effective way to reduce bad breath. Regularly scraping the tongue helps remove the buildup of bacteria and debris, which can significantly improve oral hygiene and reduce the foul taste in saliva. It is important to use the scraper gently to avoid damaging the sensitive tissue of the tongue. Additionally, maintaining a good oral hygiene routine, including brushing your teeth and tongue, flossing, and using mouthwash, can further enhance breath freshness.

3. Why does only the saliva from the back of the tongue have an odor? The back of the tongue is a more anaerobic environment, which is conducive to the growth of bacteria that produce foul-smelling compounds. The anterior part of the tongue and the cheeks are generally more exposed to air and saliva flow, which helps to keep them cleaner and less prone to bacterial buildup. The posterior part, however, is often less accessible for cleaning and can trap food particles and bacteria, leading to the development of bad odors.

4. Is having a foul taste in saliva a matter of constitution? While individual differences in body chemistry can play a role in oral health, factors such as diet, hydration, oral hygiene practices, and underlying health conditions are more significant contributors to bad breath. For instance, a diet high in sugars and carbohydrates can promote bacterial growth, while dehydration can lead to dry mouth, which exacerbates bad breath. Certain medical conditions, such as sinus infections, gastrointestinal issues, or metabolic disorders, can also contribute to changes in taste and breath odor.

In summary, if you are experiencing a persistent bad taste in your saliva and suspect it may be linked to bad breath, it is advisable to adopt a comprehensive oral hygiene routine. This includes regular brushing and flossing, using a tongue scraper, staying hydrated, and possibly consulting with a dentist or healthcare provider for further evaluation. They can help identify any underlying issues that may be contributing to your symptoms and recommend appropriate treatments or lifestyle changes.

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